| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.64 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $2,807.61 | $9,886.35 | $15,341.24 | |
Providence
| Facility | $97.58 | $140.66 | $289.00 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |